The endovenous laser ablation (EVLA) procedure involves thermal ablation of incompetent varicose veins. Unlike vein stripping, EVLA permanently shrinks and collapses the abnormal vein, thereby leaving it in place without surgically removing the vein. Laser energy is delivered through a tiny laser fiber inserted into the targeted varicose vein, somewhat resembling a strand of Angel hair pasta. The EVLA procedure is performed through a tiny nick in the skin to avoid scarring. The tiny laser fiber is positioned using ultrasound guidance along with administering dilute local anesthesia to completely numb the vein before treatment. EVLA represents an FDA-cleared minimally-invasive technique to treat symptomatic varicose veins with excellent clinical and aesthetic results. Complications are minimal in the hands of an experienced Vein Specialist.